Individual provider · Type 1 NPI

Dimitria Louise Douglas, LPN NURSE

Licensed Practical Nurse · Canton, MI

NPI number 1407536808 Active

Practice location

43825 Michigan Ave
Canton, MI 48188-2551

Call (734) 397-3088 Map

Fax (734) 397-7044

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703080037 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1407536808

Dimitria Louise Douglas, LPN NURSE's National Provider Identifier is 1407536808, issued on Jul 20, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Canton, MI. The record was last updated on Jul 20, 2023.